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多小切口减张法在乳腺癌根治术中的应用
引用本文:杨依锋,李鹏,赵先锋,韩云红. 多小切口减张法在乳腺癌根治术中的应用[J]. 中国实用医药, 2010, 5(28): 44-45
作者姓名:杨依锋  李鹏  赵先锋  韩云红
作者单位:山东省淄博矿业集团中心医院普外二科,255120
摘    要:目的探讨多小切口减张法在乳癌根治术中避免植皮,预防皮瓣坏死的应用。方法对56例乳癌根治术中采用多小切口减张法预防术后皮瓣坏死的临床观察。结果 56例乳癌根治术后其中有1例出现皮瓣坏死,但面积较小,经加强换药后1.5个月痊愈,其中2例腋窝积液,经穿刺抽液、加压包扎后治愈。结论多小切口减张法可有效降低乳癌根治术后皮瓣坏死的发生率,避免了植皮,减少创伤。

关 键 词:乳腺癌  根治术  皮瓣坏死

The application of multi-mini-incition to relax tension in radical mastectomy of treatment breast cancer
Affiliation:YANG Yi-feng,LI Peng,ZHAO Xian-feng,et al.Department of genenra surgery II,Mining industrial central hospital in ZiBo City,ShanDong 255120,China
Abstract:Objective To discuss the effectiveness of milti-mini incisions in avoiding skingrafting and preventing skin flap necrosis for patients received radical mastectomy.Methods 86 patients received radical mastectomy were enrolled to observe the effectiveness of milti-mini incisions to relax skin tension.Results Small-area skin flap necrosis was seen in 1 patient,subcutaneous fluid accumulation in armpit were seen in 2 patients,all patients were cured by local treatment.Conclusion Multi-mini incisions can effectively lower the incidence of skin flap necrosis and avoid skingrafting.
Keywords:Breast cancer  Radical mastectomy  Skin flap necrosis
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